鞣酸软膏预防老年卧床患者失禁性皮炎的效果

Application effects of tannic acid ointment on the prevention of incontinence dermatitis among elderly bedridden patients

目的：探讨鞣酸软膏在预防老年卧床大便失禁患者失禁性皮炎（ IAD ）中的应用效果。方法选择老年卧床皮肤完好大便失禁的患者80例，按照随机数字表法分为观察组与对照组各40例，对照组采用常规护理方法，观察组在常规护理的基础上预防性涂抹鞣酸软膏，观察两组患者IAD的发生例数及发生时间。结果观察组IAD发生8例，对照组IAD发生30例，两组比较差异有统计学意义（P〈0.01）；观察组IAD发生时间晚于对照组，差异有统计学意义（P〈0.01）。结论鞣酸软膏能明显降低老年卧床便失禁患者IAD的发生率，并能延迟老年便失禁患者IAD的发生时间。

Objective To investigate the application effects of tannic acid ointment on the prevention of incontinence dermatitis among elderly bedridden patients. Methods Eighty elderly bedridden patients with fecal incontinence and intact skin, were randomly divided into observation group and control group. The patients of control group received the routine nursing method while the patients of observation group were prophylactically treated by smearing tannic acid ointment on the basis of routine nursing. The number and time of the cases occurring incontinence-associated dermatitis in both two groups were observed. Results Eight cases of incontinence dermatitis in the observation group occurred while thirty cases occurred in the control group （ P〈0. 01）. The incontinence dermatitis occurred later in the observation group compared with control group （P〈0. 01）. Conclusions The tannic acid ointment can not only significantly reduce the incidence of incontinence dermatitis but also can delay the occurrence time of incontinence dermatitis among the bedridden patients with fecal incontinence.